Individual
MARIO RAY JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-3835
(505) 277-0111
Mailing address
1316 WALSH ST SE, RIO RANCHO, NM 87124-2979
(505) 702-6487
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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